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OB - notes (Ma'am Haidee) Toprank
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OB• Ovarian Cycle
- Ovarian Cycle also known as Menstrual cycle
- 16 weeks - di erence in gender
- Boy -> Testosterone
- Girl -> Estrogen
• Part 1
Bata pa si Estrogen is LOW Puberty dapat UP TO GO with the bit of right
hormones Hypothalamus release GnRH
APG release FSH PRIMODAL young, but FSH’s high. Add some more
stimulation, turns to GRAAFIAN. Then ESTROGEN will surge
PROLIFERATION phase ready for implantation.
Gonodotropin releasing hormone) trigger -> Gonads (reproductive organs of
females) “Gonodo - > Ovaries, “tropin” -> growth
• Part 2
APG now produce LH . An egg embarks, OVULATION. Follicles become
yellow, that’s CORPUS LUTEUM (8 - 10 DAYS LIFE) contains LUTEIN -RICH
IN PROGESTERONE (died: corpus albican “white”) pag di pa Fertilizes =
Menstruation (30-80 ml)
• Estrogen - endometrial lining - Progesterone -> protect (Hormone of pregnancy)
keep the estrogen intact.
• Menarche - 9 y/o - 16 y/o
• Fertilization
Also known conception and impregnation and egg sperm (72 hrs) it unites.
Increasing chances
Subfertility - inability to conceived > 12 months and above
Sterility — permanent
Time: ovulation
1. BBT - sudden drop 0.5 oF - 1 oF then sudden rise (Progesterone)
2. Mucus- clear, stretchy => spinnbarkeit
3. Calculation - > subtraction of 14 days before the next mens.
Frequency: every other day
Position: man dominated
Pre ans post: pre - no douche, no lubricants, post: women will elevate hips
within 20 mins.
Diet: Complex carbohydrates, moderate: CHON + FAT
weight: Normal bmi (18 - 24.5)
Exercise: at least 30 min./day
Extra: hobby
, FETAL DEVELOPMENT
• Term: 38 - 42 week -> 40 weeks
• Average length - 20 weeks and above = survive 19 weeks and below = abortes
• 28 - 43 weeks term
• > 42 weeks post-term = decrease placenta; function
• Lunar Months : 10 lunar months
• Calendar: 9 months
Stage of Fetal Development
• Ovum
• Zygote
• Morello- free oating
• Blastocyst - 3 germ layers (gonodotropin -> corpus lutein -> 16-20 weeks-
>placenta)
• Primitive Villa -> chromic villa -> placenta
• Embryo - implanted 5 -6 weeks
• Fetus - 8 weeks to delivery
• Neonates - Birth till 28 days
• Infants
Fetal Growth & Development
I. First Lunar Month
• F - our week old
• I - planted (8-10 days) max. 1 month
• R - udementary Heart (not a real heart
yet)
• S - pinal cord formed - Fusion (folic) =
defects (spina bi da, meningocele, etc.)
• T - tree germ layers (EME)
Ectoderm (Outside)
• E - ears, eyes, and nose
• C - CNS
• T - touch and taste
• O - openings of the body
Mesoderm (Middle)
• M - muscle
• E - enamel of teeth
• S - skeletal
• O - organs - reproductive circuit and kidney
Endoderm (inside)
• L - lower urinary ( Bladder, urethra)
• L - linings of the organ (GIT)
• L - lalamunan (Tonsil, thyroid, and Thymus)
• L - Lungs
, II. Second Lunar Month
• S - ac (earliest 4-6 weeks) probable
signs
• E - extremities
• C - construction of heart by UTZ
(positive sign of pregnancy - no
sound)
• O - rganahenesis complete - pea in 6
- 8 weeks -> defect may result to
abortion or fetal defects
• N - oticable face
• D - digestive development
III. Third Lunar Month
• T - oothbuds
• H - ear (Heart sound) - the earliest:
10 - 12 weeks
• I - hi (Kidney) amniotic uid -
maternal serum (osmosis &
di usion) use chorionic villi - clear
amniotic uid
• R - e ex (Babinski)
• D - Doppler: to hear the heart
sound
- Amniocentesis is not allowed
IV. Forth Lunar Month
• F - etoscope, ne downy hair (Lanugo - term decrease)
• O - ordinary Stethoscope - 5 months and above
• U - rine in the amniotic uid - min. 200 ml => amniocentesis (15 - 20 ml).
Amniotic uid => slightly yellow (dark yellow => high bilirubin => RBC
breakdown => RBC incompatebility, Informed consent, no to NPO but empty
bladder, Prepare ultrasound machine
• R - evil the gender of the fetus
- Amniocentesis -> can analyze
1. L:S - L: Surfactan -> high
lesenin ( 2:1 mature lungs)
2. AFP (alpha fetal protein - Liver)
high = open body defects, low
= down syndrome
Monitor after:
1) reaction of baby
2) contraction
3) bleeding
4) Signs of infection ( patient)
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